2022
Postoperative spine surgical site infections: high rate of failure of one-stage irrigation and debridement
Dhodapkar M, Galivanche A, Halperin S, Elaydi A, Rubio D, Grauer J. Postoperative spine surgical site infections: high rate of failure of one-stage irrigation and debridement. The Spine Journal 2022, 23: 484-491. PMID: 36549456, DOI: 10.1016/j.spinee.2022.12.005.Peer-Reviewed Original ResearchConceptsSurgical site infectionElective spine surgerySpine surgeryInitial managementRate of SSIInfection characteristicsSpine surgical site infectionPostoperative surgical site infectionRetrospective case-control studyPresence of bacteremiaRisk stratification toolCase-control studySingle academic institutionTimes greater oddsDevastating complicationSite infectionMultivariable analysisStratification toolSurgical managementSurgical variablesIndex procedureSurgical interventionRisk factorsInclusion criteriaLarge cohort
2021
Postoperative bracing practices after elective lumbar spine surgery: A questionnaire study of U.S. spine surgeons
Pathak N, Scott MC, Galivanche AR, Burroughs PJ, Moore HG, Hilibrand AS, Malpani R, Justen M, Varthi AG, Grauer JN. Postoperative bracing practices after elective lumbar spine surgery: A questionnaire study of U.S. spine surgeons. North American Spine Society Journal (NASSJ) 2021, 5: 100055. PMID: 35141620, PMCID: PMC8820027, DOI: 10.1016/j.xnsj.2021.100055.Peer-Reviewed Original ResearchElective lumbar surgeryLumbar surgerySpine surgerySpine surgeonsElective lumbar spine surgeryMajority of respondentsElective spine surgeryUse of orthosesLumbar spine surgeryLateral interbody fusionNon-fusion surgeryDuration of useChi-square testType of braceEvidence-based practiceInterbody fusionLumbar fusionSurgeon respondentsSurgeryMost surgeonsSacral orthosisSurgeonsOrthosesOne-way analysisDemographic information
2019
Admission NarxCare Narcotics Scores are not Associated With Adverse Surgical Outcomes or Self-reported Patient Satisfaction Following Elective Spine Surgery.
Galivanche AR, Mercier MR, Adrados M, Pathak N, McLynn RP, Anandasivam NS, Varthi AG, Rubin LE, Grauer JN. Admission NarxCare Narcotics Scores are not Associated With Adverse Surgical Outcomes or Self-reported Patient Satisfaction Following Elective Spine Surgery. Spine 2019, 44: 1515-1522. PMID: 31356498, DOI: 10.1097/brs.0000000000003120.Peer-Reviewed Original ResearchConceptsMultivariate logistic regressionPatient satisfactionAdverse eventsNarcotic scoreSurvey response rateSpine surgeryResponse rateLogistic regressionSelf-reported patient satisfactionElective spine surgeryPreoperative opioid usePostoperative patient satisfactionTime of admissionAdverse surgical outcomesSpine surgery casesHospital Consumer AssessmentHCAHPS survey resultsDifferent narcoticsNarcotic usagePerioperative outcomesNarcotic utilizationOpioid usePatient characteristicsPostoperative outcomesNarcotic group
2018
Dialysis is an independent risk factor for perioperative adverse events, readmission, reoperation, and mortality for patients undergoing elective spine surgery
Ottesen TD, McLynn RP, Zogg CK, Shultz BN, Ondeck NT, Bovonratwet P, Bellamkonda KS, Rubin LE, Grauer JN. Dialysis is an independent risk factor for perioperative adverse events, readmission, reoperation, and mortality for patients undergoing elective spine surgery. The Spine Journal 2018, 18: 2033-2042. PMID: 30077772, DOI: 10.1016/j.spinee.2018.04.007.Peer-Reviewed Original ResearchConceptsElective spine surgeryNon-dialysis patientsDialysis-dependent patientsPerioperative adverse eventsAdverse eventsDialysis patientsSpine surgeryUnplanned readmissionCohort studyPatient demographicsRisk factorsNational Surgical Quality Improvement Program databaseRisk-adjusted multivariate regressionsQuality Improvement Program databaseOperating roomDialysis-independent patientsInstitutional cohort studyMinor adverse eventsRetrospective cohort studyElective spinal surgeryImprovement Program databaseIndependent risk factorMajor adverse eventsPercentage of complicationsAdministrative database study
2017
The Rothman Index as a predictor of postdischarge adverse events after elective spine surgery
McLynn RP, Ondeck NT, Cui JJ, Swanson DR, Shultz BN, Bovonratwet P, Grauer JN. The Rothman Index as a predictor of postdischarge adverse events after elective spine surgery. The Spine Journal 2017, 18: 1149-1156. PMID: 29155251, DOI: 10.1016/j.spinee.2017.11.008.Peer-Reviewed Original ResearchConceptsElective spine surgeryPostdischarge adverse eventsMinor adverse eventsMajor adverse eventsAdverse eventsRothman IndexSpine surgeryMedical CenterOverall patient conditionRothman Index scoresHigh-risk patientsRate of readmissionRetrospective cohort studyLarge academic medical centerPostoperative day 30Body mass indexLength of stayAcademic medical centerPresent studyElectronic medical recordsLater scoresAnesthesiologists classHospital lengthPerioperative outcomesCohort studyRisk factors and pharmacologic prophylaxis for venous thromboembolism in elective spine surgery
McLynn RP, Diaz-Collado PJ, Ottesen TD, Ondeck NT, Cui JJ, Bovonratwet P, Shultz BN, Grauer JN. Risk factors and pharmacologic prophylaxis for venous thromboembolism in elective spine surgery. The Spine Journal 2017, 18: 970-978. PMID: 29056565, DOI: 10.1016/j.spinee.2017.10.013.Peer-Reviewed Original ResearchConceptsElective spine surgeryPrior venous thromboembolismPharmacologic prophylaxisVenous thromboembolismAssociation of patientSpine surgeryRisk factorsUnfractionated heparinVTE prophylaxisInstitutional cohortNational Surgical Quality Improvement Program databaseElective spine surgery patientsRate of VTEQuality Improvement Program databaseDependent functional statusPerioperative blood transfusionRetrospective cohort studySpine surgery patientsImprovement Program databaseIndependent risk factorRetrospective cohort analysisIncidence of hematomaLonger operative timeLumbar spine surgerySingle-institution cohort
2014
“July Effect” in Elective Spine Surgery
Bohl DD, Fu MC, Gruskay JA, Basques BA, Golinvaux NS, Grauer JN. “July Effect” in Elective Spine Surgery. Spine 2014, 39: 603-611. PMID: 24384663, DOI: 10.1097/brs.0000000000000196.Peer-Reviewed Original ResearchConceptsSerious adverse eventsElective spine surgeryAdverse eventsJuly effectSpine surgeryResident involvementNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseImprovement Program databaseMultivariate logistic regressionFirst academic quarterRetrospective cohortProgram databaseInclusion criteriaStudy populationBACKGROUND DATAAmerican CollegeLogistic regressionPatient safetySurgeryConflicting resultsRisky populationTraining periodInvolvement